PET 4672 Competencies

Competency Code Competency -1st evaluation
  Clinical Proficiency
RM-CP1 Plan, implement, evaluate, and modify a fitness program specific to the physical status of the patient.  This will include instructing the patient in proper performance of the activities and the warning signs and symptoms of potential injury that may be sustained.  Effective lines of communication shall be established to elicit and convey information about the patient’s status and the prescribed program.  While maintaining patient confidentiality, all aspects of the fitness program shall be documented using standardized record-keeping methods.
Competency Code Competency -2nd Evaluation/Mastery
AC-C13 Describe the proper management of external hemorrhage, including the location of pressure points, use of universal precautions, and proper disposal of biohazardous materials.
AC-C14 Identify the signs and symptoms associated with internal hemorrhaging. 
AC-C16 Describe the injuries and illnesses that require medical referral.
AC-C17 Explain the application principles of rest, cold application, elevation, and compression in the treatment of acute injuries.
AC-C18 Describe the signs, symptoms, and pathology of acute inflammation.
AC-C20 Explain the importance of monitoring a patient following a head injury, including obtaining clearance from a physician before further patient participation.
AC-C21 Define cerebral concussion, list the signs and symptoms of concussions, identify the methods for determining the neurocognitive status of a patient who sustains a concussion and describe contemporary concepts for the management and return-to-participation of a patient who sustains a concussion. 
AC-C22 Identify the signs and symptoms of trauma to the cervical, thoracic and lumbar spines, the spinal cord, and spinal nerve roots, including neurological signs, referred symptoms, and other symptoms that indicate underlying trauma and pathology. 
AC-C24 Describe the indications, guidelines, proper techniques and necessary supplies for removing equipment and clothing in order to evaluate and/or stabilize the involved area.
AC-C25 Describe the effective management, positioning, and immobilization of a patient with a suspected spinal cord injury.
AC-C26 Identify the appropriate short-distance transportation method, including immobilization, for an injured patient.
AC-C27a Different types of shock
AC-C27b Diabetic coma
AC-C27c Seizures
AC-C27e Allergic, thermal, and chemical reactions of the skin (including infestations and insect bites)
AC-C28 Identify the signs and symptoms of serious communicable diseases and describe the appropriate steps to prevent disease transmission.
AC-C29 Identify the signs, symptoms, and treatment of patients suffering from adverse reactions to environmental conditions.
AC-C31 Describe the proper immobilization techniques and select appropriate splinting material to stabilize the injured joint or limb and maintain distal circulation.
AC-C32 Describe the proper ambulatory aid and technique for the injury and patient.
AC-C33 Describe home care and self-treatment plans of acute injuries and illnesses.
AC-C4 Know and be able to use appropriately standard nomenclature of injuries and illnesses.
AC-C5 Describe the principles and rationale of the initial assessment including the determination of whether the accident scene is safe, what may have happened, and the assessment of airway, breathing, circulation, level of consciousness and other life-threatening conditions.
AC-C6 Differentiate the components of a secondary assessment to determine the type and severity of the injury or illness sustained.
AC-C8 Describe pathological signs of acute/traumatic injury and illness including, but not limited to, skin temperature, skin color, skin moisture, pupil reaction, and neurovascular function.
AC-C9 Describe the current standards of first aid, emergency care, rescue breathing, and cardiopulmonary resuscitation for the professional rescuer.
AC-P1 Survey the scene to determine whether the area is safe and determine what may have happened.
AC-P2 Perform an initial assessment to assess the following, but not limited to:
AC-P2a Airway
AC-P2b Breathing
AC-P2c Circulation
AC-P2d Level of consciousness
AC-P2e Other life-threatening conditions
AC-P3 Implement appropriate emergency treatment strategies, including but not limited to:
AC-P3a Activate an emergency action plan
AC-P3b Establish and maintain an airway in an infant, child, and adult
AC-P3c Establish and maintain an airway in a patient wearing shoulder pads, headgear or other protective equipment and/or with a suspected spine injury
AC-P3d Perform one- and two-person CPR on an infant, child, and adult
AC-P3e Utilize a bag-valve mask on an infant, child, and adult
AC-P3f Utilize an automated external defibrillator (AED) according to current accepted practice protocols
AC-P3g Normalize body temperature in situations of severe/life-threatening heat or cold stress
AC-P3h Control bleeding using universal precautions
AC-P3i Administer an EpiPen for anaphylactic shock
AC-P4 Perform a secondary assessment and employ the appropriate management techniques for non-life-threatening situations, including but not limited to:
AC-P4a Open and closed wounds (using universal precautions)
AC-P4b Closed-head trauma (using standard neurological tests and tests for cranial nerve function)
AC-P4c Environmental illness
AC-P4d Seizures
AC-P4e Acute asthma attack
AC-P4f Different types of shock
AC-P4g Thoracic, respiratory, and internal abdominal injury or illness
AC-P4h Acute musculoskeletal injuries (i.e. sprains, strains, fractures, dislocations)
AC-P4i Spinal cord and peripheral nerve injuries
AC-P4j Diabetic coma
AC-P4k Toxic drug overdose
AC-P4l Allergic, thermal, and chemical reactions of the skin (including infestations and insect bites
MC-P4 Apply commonly used special tests and instruments (e.g., otoscope, stethoscope, ophthalmoscope, peak flowmeter, chemical “dipsticks” [or similar devices) and document the results for the assessment of:  
RM-C1 Explain the risk factors associated with physical activity. 
RM-C19 Explain the basic principles and concepts of home, school, and workplace ergonomics and their relationship to the prevention of illness and injury.
RM-C2 Identify and explain the risk factors associated with common congenital and acquired abnormalities, disabilities, and diseases.
RM-C5 Describe the basic concepts and practice of wellness screening. 
RM-C6 Describe the general principles of health maintenance and personal hygiene, including skin care, dental hygiene, sanitation, immunizations, avoidance of infectious and contagious diseases, diet, rest, exercise, and weight control.
RM-C7 Explain the importance for all personnel to maintain current certification in CPR, automated external defibrillator (AED), and first aid.
RM-C8 Explain the principles of effective heat loss and heat illness prevention programs.  Principles include, but are not limited to, knowledge of the body’s thermoregulatory mechanisms, acclimation and conditioning, fluid and electrolyte replacement requirements, proper practice and competition attire, and weight loss. 
RM-P1 Instruct the patient how to properly perform fitness tests to assess his or her physical status and readiness for physical activity. Interpret the results of these tests according to requirements established by appropriate governing agencies and/or a physician. These tests should assess:
RM-P1.1 Flexibility
RM-P1.2 Strength
RM-P1.2 Strength
RM-P1.3 Power
RM-P1.4 Muscular Endurance
RM-P1.5 Agility
RM-P1.6 Cardiovascular Endurance
RM-P1.7 Speed
RM-P2 Develop a fitness program appropriate to the patient’s needs and selected activity or activities that meet the requirements established by the appropriate governing agency and/or physician for enhancing:
RM-P2.1 Flexibility
RM-P2.2 Strength
RM-P2.3 Power
RM-P2.4 Muscular Endurance
RM-P1.5 Agility
RM-P2.6 Cardiovascular Endurance
RM-P2.7 Speed
RM-P6 Obtain, interpret, and make decisions regarding environmental data. This includes, but is not limited to the ability to:
RM-P6.1 Operate a sling psychrometer and/or wet bulb globe index
RM-P6.2 Formulate and implement a comprehensive, proactive emergency action plan specific to lightening safety
RM-P6.3 Access local weather/environmental information
RM-P6.4 Assess hydration status using weight charts, urine color charts, or specific gravity measurements
AC-C1 Explain the legal, moral, and ethical parameters that define the scope of first aid and emergency care and identify the proper roles and responsibilities of the certified athletic trainer.
AC-C2 Describe the availability, content, purpose, and maintenance of contemporary first aid and emergency care equipment.
AC-C3 Determine what emergency care supplies and equipment are necessary for circumstances in which the athletic trainer is the responsible first responder.
AC-C11 Describe the role and function of supplemental oxygen administration as an adjunct to cardiopulmonary resuscitation techniques.
AC-C15 Describe the appropriate use of aseptic or sterile techniques, approved sanitation methods, and universal precautions for the cleansing and dressing of wounds.
AC-C19 Identify the signs and symptoms of head trauma, including loss of consciousness, changes in standardized neurological function, cranial nerve assessment, and other symptoms that indicate underlying trauma. 
AC-C23 Describe cervical stabilization devices that are appropriate to the circumstances of an injury.
AC-C27 Identify the signs, symptoms, possible causes, and proper management of the following:
AC-C27d Toxic drug overdose
AC-C30 Identify information obtained during the examination to determine when to refer an injury or illness for further or immediate medical attention.
AC-C7 Identify the normal ranges for vital signs.
DI-C6 Describe common techniques and procedures for evaluating common injuries including taking a history, inspection/observation, palpation, functional testing, special evaluation techniques, and neurological and circulatory tests.
DI-C8 Describe the nature of diagnostic tests of the neurological function of cranial nerves, spinal nerves, and peripheral nerves using myotomes, dermatomes, and reflexes. 
DI-P6 Grade the resisted joint range of motion/manual muscle testing and break tests.
EX-C1 Describe the physiological and pathological processes of trauma, wound healing and tissue repair and their implications on the development, progression and implementation of a therapeutic exercise program.
EX-C2 Describe the mechanical principles applied to the design and use of therapeutic exercise equipment and techniques (leverage, force, kinesiology and biomechanics).
EX-C3 Describe common surgical techniques, pathology, and any subsequent anatomical alterations that may affect the implementation of a therapeutic exercise program.
EX-C4 Describe the appropriate selection and application of therapeutic exercises taking the following into consideration:
EX-C4a The physiological responses of the human body to trauma
EX-C4b The physiological effects of inactivity and immobilization on the musculoskeletal, cardiovascular, nervous, and respiratory systems of the human body
EX-C4d The physiological adaptations induced by the various forms of therapeutic exercise, such as fast- versus slow-twitch muscle fibers
EX-C4e The physiological responses of additional factors, such as age and disease
  CLINICAL PROFICIENCIES
RM-CP3 Demonstrate the ability to develop, implement, and communicate effective policies and procedures to allow safe and efficient physical activity in a variety of environmental conditions.  This will include obtaining, interpreting, and recognizing potentially hazardous environmental conditions and making the appropriate recommendations for the patient and/or activity.  Effective lines of communication shall be established with the patient, coaches and/or appropriate officials to elicit and convey information about the potential hazard of the environmental condition and the importance of implementing appropriate strategies to prevent injury.
AC-CP1 Demonstrate the ability to manage acute injuries and illnesses.  This will include surveying the scene, conducting an initial assessment, utilizing universal precautions, activating the emergency action plan, implementing appropriate emergency techniques and procedures, conducting a secondary assessment and implementing appropriate first aid techniques and procedures for non-life-threatening situations.  Effective lines of communication should be established and the results of the assessment, management and treatment should be documented.
DI-CP1 Demonstrate a musculoskeletal assessment of upper extremity, lower extremity, head/face, and  spine (including the ribs) for the purpose of identifying (a) common acquired or congenital risk factors that would predispose the patient to injury and (b) a musculoskeletal injury. This will include identification and recommendations for the correction of acquired or congenital risk factors for injury. At the conclusion of the assessment, the student will diagnose the patient’s condition and determine and apply immediate treatment and/or referral in the management of the condition. Effective lines of communication should be established to elicit and convey information about the patient’s status.  While maintaining patient confidentiality, all aspects of the assessment should be documented using standardized record-keeping methods.
DI-CP1.1 Foot and Toes
DI-CP1.2 Ankle
DI-CP1.3 Lower Leg
DI-CP1.4 Knee (tibiofemoral and patellofemoral)
DI-CP1.5 Thigh
DI-CP1.6 Hip/Pelvis/Sacroiliac Joint
DI-CP1.7 Lumbar Spine